1991
DOI: 10.1093/infdis/163.3.549
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Interaction of Nontypable Haemophilus influenzae with Human Respiratory Mucosa In Vitro

Abstract: One laboratory strain (SH9) (n = 12) and five clinical isolates of unencapsulated Haemophilus influenzae replicated from 10(4) to 10(8) cfu/ml over 24 h in an organ culture of human respiratory mucosa in which only the intact mucosal surface is exposed. By transmission electron microscopy (TEM), bacteria were not seen in association with normal respiratory epithelium, even after incubation for 24 h. Histology and TEM morphometry demonstrated patchy and occasionally confluent damage to epithelia at this time, w… Show more

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Cited by 145 publications
(150 citation statements)
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“…If the bacteria manage to overcome the mucociliary escalator, they may colonize and cause damage to the epithelial cells and breakdown of tight junctions (5,6). Consequently, the bacteria reach the basement membrane and the extracellular matrix (ECM), and may penetrate into deeper tissue layers and consequently into the circulation.…”
mentioning
confidence: 99%
“…If the bacteria manage to overcome the mucociliary escalator, they may colonize and cause damage to the epithelial cells and breakdown of tight junctions (5,6). Consequently, the bacteria reach the basement membrane and the extracellular matrix (ECM), and may penetrate into deeper tissue layers and consequently into the circulation.…”
mentioning
confidence: 99%
“…Adherence of Rd/wt-Hap to fibronectin and collagen IV was even more impressive than adherence to epithelial cells, suggesting that Hap may serve primarily to facilitate H. influenzae adherence to extracellular matrix proteins. Along these lines, it is noteworthy that H. influenzae associates preferentially with damaged epithelium and exposed basement membrane in experiments with nasopharyngeal tissue in organ culture (12).…”
Section: Discussionmentioning
confidence: 96%
“…READ et al [23] have hypothesized that, in individuals whose primary airway defences are compromised (i.e. impaired mucociliary clearance and increased mucus production), a "vicious circle of events" results in chronic airway inflammation and damage as a consequence of the host-mediated response to bacterial infections.…”
Section: The Putative Mechanisms Of Bacterial-induced Chronic Airway mentioning
confidence: 99%